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MR. KEVIN A. VINING BS, MHA, ATC

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1932163862

Individual Registrant:
MR. KEVIN A. VINING BS, MHA, ATC
Gender: M

Location and contact information for practice:
40 BULLS BRIDGE RD  SOUTH KENT, CT 06785-1118 US
Tel: 860-927-3539  Fax: 860-927-1161

Contact information for business:
40 BULLS BRIDGE RD  SOUTH KENT, CT 06785-1118 US
Tel: 860-927-3539  Fax: 860-927-1161

Registration Information:
NPI: 1932163862
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program
CT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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